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2000, 10-09 Permit App: 00009173 Finish BasementProject Number: 00009173 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/09/2000 Page 1 of 2 Project Information: Permit Use: FINISH PORTION OF BASEMENT - BATHROOM Contact: SCHOTT, RON & EVA & BEDRROM & LAWN SPRINLER Address: 1117 S BURNS RD C - S - Z: VERADALE, WA 99037 Setbacks: Front Left: Right: Rear: Phone: (509) 891-1077 Group Name: Site Information: Project Name: Plat Key: 003207 Name: SNOOPY'S ADD District: F Parcel Number: 45234.5001 Block: SiteAddress: 1117 S BURNS RD VERADALE, WA 99037 Location:: VER Zoning: UR -3.5 Water District: Area: 0 Sq Ft Urban Residential 3.5 Width: 92 Nbr of Bldgs: 1 Nbr of Dwellings: 1 Review Information: Department BUILDING Hold Reasons: Permit Conditions: Review Plan Review Lot: Owner: Name: SCHOTT, RON & EVA Address: 1117 S BURNS RD VERADALE, WA 99037 HEALTHDISTRICT Septic System Review Hold Reasons: SellVags designed Permit Conditions: mtei hedretina may, Permits: c Hold: ❑ Depth: 82 Right Of Way (ft): 40 Released By:/ Project Number: 00009173 Inv: 1 Application THIS IS NOT A PERMIT Penalties will be assessed for commencing work without a permit Date: 10/09/2000 Page 2 of 2 Building Permit Contractor: OWNER Firm: OWNER Address: 0 Phone: (000) 000-0000 000000, 00 000000 Building Characteristics Const Category: Remodel Group: R-3 Type: VN Nbr Of Dwellings: Occupant Load: Building Height: Stories: Bldg W x D: x Building Sq Ft: Sprinklers: ❑ Req Parking: Handicap Parking: Critical Materials: This Application: Total Project: Description Grp Tvne Notes Sq Ft Valuation Sq Ft Valuation BASEMENT F R-3 VN FINISH 0 $1,500.00 0 $1,500.00 PART OF BASEMENT Item Description RESIDENTIAL VALUATION STATE SURCHARGE RESIDENTIAL SURCHARGE Totals: 0 $1,500.00 0 $1,500.00 Units Unit Desc Fee Amount 1 Y OR BLANK $49.50 1 Y OR BLANK $4.50 1 Y OR BLANK $10.89 Permit Total Fees: Plumbing Permit Contractor: OWNER Firm: OWNER Address: 0 000000, 00 000000 Item Description CROSS CONNECTION DEVICES MINIMUM FEE ADJUSTMENT Payment Summary: Operator: RMB Permit Type Building Permit Plumbing Permit $64.89 Phone: (000) 000-0000 Units Unit Desc Fee Amount 1 NUMBER OF $6.00 1 Select $29.00 Printed By: RMB Permit Total Fees: $35.00 Print Date: 10/09/2000 Fee Amount Invoice Amount Amount Paid Amount Owing $64.89 $64.89 $0.00 $64.89 $35.00 $35.00 $0.00 $35.00 $99.89 $99.89 Notes: THE BATHROOM PLUMBING HAS ALREADY BEEN ROUGHED IN AND SO HAS THE VENT FAN $0.00 $99.89 101 Agink SPOWE COUNTY 0°- 9113 PROJECT APPLICATION WORK SHEET SPOKANE COUNTY DIVISION OF BUILDING & CODE ENFORCEMENT 1026 WEST BROADWAY AVENUE SPOKANE, WA 99260 509-477-3675 SPECIFIC SITE INFORMATION Street Address: Assessor's Tax Parcel Number(s): C1`j- Z 3r / 5bo Legal Description: Project Description: ?Ck ( Ca � 1 1 A( X11 , t 1\ 54< (1 ss r , v(A ❑ Building Permit ❑ Change in Use ❑ Grading ❑ Manufactured Home Permit ❑ Relocation ❑ Sign 11 Tenant (New/Change) ❑ Other OWNER/APPLICANT INFORMATION 0 Indicate who should be contacted regarding this project .Ow I ner: { \ E ki t'& j Lac \'I —1 3 `a. T �j •o -ro• fF i.,.*OA r{ ,S.^." y95• •. �. mP;.,'..'... $ Sr Z, ' E. ( )(5 '' irW�� - '•8.«�`.'F%ks. t- '4M?a": y •'F 1.. .. v�.l �' ,'f �•• F,�,i yF. r x 'ly 's:C' A^ .rl xPsn .< n5 °. v <lt '�'. a„d i z= - « - °�..� R;I,:;'s: $g�,pk$°_ct$�; r s. = , � s '§":' ... -�y, '+i Y r^.�p,?':"c `' =' "rsaa:r =� u`•, � oedlcndth;ettsacks>,:... ;a... _-�✓. Mailing address '3'iilni:"'. °3 ''fi :':-++A .. - # ,s, �p.� 3j111 • ;fix 1' =l WA State Contractor license # -_. _�-,,: .....i:'i.._::'• k ��Jii�Xkx'' .moi:. - OWNER/APPLICANT INFORMATION 0 Indicate who should be contacted regarding this project .Ow I ner: { \ E ki t'& j Lac ��u/, Phone: 9 -• (Q —/ I)n �l k F'ax: —1 ❑ Applicant: Phone: Fax: Mailing Address: l 7 S ( )(5 '' 2"d floor sq. ft. Mailing Address: f...". Occupancy group / City, State, Zip U b o rl �n lel{,` (� J 1 A r g U 3-1 Cost of project t + ' k-� ) City, State, Zip ❑ Contractor Phone`� Fax ❑ Architect/Engineer Phone Fax Mailing address Mailing address City, State Zip City, State Zip WA State Contractor license # Contact name: PROTECT INFORMATION Buildk g reformation Building height to peak # of stories Main floor sq. ft. Unfinished basement sq. ft. Dimensions Total habitable space 2"d floor sq. ft. Finished basement sq. ft. Occupancy group Construction type Garage sq. ft. Deck sq. ft. Cost of project t + ' k-� ) Heat source (electric, gas, etc.) 4_ z Manufactures .:::•, Fire e Width: Length: What is the square footage of the sign face? How high is the sign? Year: Make: # of signs Area of existing signs Value Phone Inspectors: �( •� - �,� tom. � .:::•, Fire e Previous address Fire Sprinkler Tent Fireworks display Paint booth Fire Alarm _ Phone Proposed use Value Phone Spe $ c, 1. li What is the current use of this property? N0 >r, ne>gr o Y. ""g" Firm Name Are or will there be wells located on the property? If yes, identify on the site plan 0 Yes 0 No Phone Is there evidence of fill or excavation on the property? 0 Yes 0 No Plans Examiner Phone Inspectors: Address Inspector Phone O Concrete O Welding O Bolting O Reinforcement Address ADDITIONAL SITE INFORMATION Are there structures on the property? 0 Yes 0 No If yes, identify on site plan What is the current property size? (square feet or acres) Is any part of the property within 250 feet of a shoreline? If yes, identib on site plan 0 Yes 0 No What is the current use of this property? Is your property in a designated wildlife habitat area? 0 Don't know 0 Yes 0 No Will the site be served by a septic system? 0 Yes 0 No Is any part of the property within a 100 yr flood plain? If yes, identify on site plan 0 Maybe 0 Don't know 0 Yes 0 No Are or will there be wells located on the property? If yes, identify on the site plan 0 Yes 0 No Are there any wetlands, streams or ponds within 200 feet of the property? If yes, ident( on site plan 0 Yes 0 No Is there evidence of fill or excavation on the property? 0 Yes 0 No Are there slopes greater than 30% on the property? (30 ft rise in 100 ft) (/ %) 0 Yes 0 No Are critical or hazardous materials used or stored on site? 0 Yes 0 No DEPARTMENT USE ONLY Is the property itt a ilesigiiated Storniwater Control Area?` . O .Yes DNo Is public sewer available: to tha site> Cl -'',Yes' 13 � w Is the prOpertYlitside the ASA? CI Yes D Yes :,"Cl. No • 0 No .. Is pithhc Water available to the,siie? Q Is the property:inside'thePSSA? a: Yes : D, No • Is the property located within 1t fuer oI a N i rai oufre. tom? d,Y'es'.,RN Date Received: Staff Representative: METHOD OF PAYMENT VISA ❑ CASH 0 CHECK 0 ammo 0 0 aiJC�VE < FAXED PERMITS WILL ONLY BE ACEPTED WITH PAYMENT OF A MAJOR CREDIT CARD DATE: EXPIRES: BANKCARD NUMBER: AUTHORIZED SIGNATURE: SUBTOTAL MINIMUM PERMIT FEE IS x35,00 PLEASE. MAKE CHECKS PAYABLE TO1POKANB''.1 coUWIYPponrcENTER